| Our Lady Of Angels, St. Joseph Medical Clinic, Inc | |
|
131 W. Intendencia St. Pensacola FL 32502 | |
| (850) 434-8162 | |
| (850) 434-8996 |
| Full Name | Our Lady Of Angels, St. Joseph Medical Clinic, Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 131 W. Intendencia St., Pensacola, Florida |
| Authorized Official Name and Position | David Conkle (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8504348162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Lady Of Angels, St. Joseph Medical Clinic, Inc 131 W. Intendencia St Pensacola FL 32502 Ph: (850) 434-8162 | Our Lady Of Angels, St. Joseph Medical Clinic, Inc 131 W. Intendencia St. Pensacola FL 32502 Ph: (850) 434-8162 |
| NPI Number | 1831523612 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 08/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831523612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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